11111111 11111111 1111 1111 F! iii ��� III III III III "I III III <br />1 1 - il* Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />The basis for this Notice of Restriction of Use is that on you violated Section LAI—OIC-141 of the Park <br />and Open Space Rules, and/or Section of the Eugcne Code, 1971, and/or ORS _. To wit, you:—;— <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />in orm" nearing must ne maue in writing anu Men. Tun Lne FarKs 3Z k)pcn Space Divislon U rector t Ine Division 171rector <br />within 48 hours (exclusive of weekend%) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of'weekends) of'receipt oi'the request r(-)r hearing. At the fill'on hearing the Division Director will only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />1Y <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />Wi i Ec Copy: Pubi i c Work Green Copy: File Yellow Copy: Report Copy Pink Cully: Recipient Gold Copy: Officer Appeil notice Re% 04/0 <br />Narne: Last First Middle <br />DOB: <br />Rae /Sox: <br />AF)Z,4')W P11-oma- <br />rM1 4" ------ --_- - <br />Ill— <br />Res. Address: city <br />State <br />Zip <br />Res. thrust: <br />Work Phone: <br />c <br />11111111 11111111 1111 1111 F! iii ��� III III III III "I III III <br />1 1 - il* Entering in or using all City of Eugene parks, open spaces or facilities. <br />X <br />The basis for this Notice of Restriction of Use is that on you violated Section LAI—OIC-141 of the Park <br />and Open Space Rules, and/or Section of the Eugcne Code, 1971, and/or ORS _. To wit, you:—;— <br />(Description of the violation.) <br />This restriction of use is effective beginning on and shall remain in effect until <br />If you enter in or use any City of Eugene park, open space or facility during the effective period of this Notice, you may be <br />arrested and charged with criminal trespass in the second degree. <br />in orm" nearing must ne maue in writing anu Men. Tun Lne FarKs 3Z k)pcn Space Divislon U rector t Ine Division 171rector <br />within 48 hours (exclusive of weekend%) of receipt of this Notice at the following address: 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />The Division Director shall schedule a time and place for the informal hearing to be conducted, which shall be not more than <br />72 hours (exclusive of'weekends) of'receipt oi'the request r(-)r hearing. At the fill'on hearing the Division Director will only <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the informal hearing. <br />This Notice shall remain in effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and time shown above by: <br />1Y <br />(Signature of person issuing/delivering notice) <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />Wi i Ec Copy: Pubi i c Work Green Copy: File Yellow Copy: Report Copy Pink Cully: Recipient Gold Copy: Officer Appeil notice Re% 04/0 <br />